Figure 23-27

Figure 23

(a) A young man before transplanting. Note that the supra-temporal areas have been outlined and will be treated at the same time as the more obvious areas of thinning medial to it. (b) Nine months after treatment with 2137 FU at an average density of 30 FU/cm².

Figure 24

(a) A young man with severe (for his age) hair loss in the frontal area before transplanting. (b) One year after a single session to the frontal area consisting of 2246 FU transplanted at an average density of approximately 30 FU/cm². The hair has been parted in the same area as it was in the before photo for critical evaluation. (c) The same patient shown in Fig. 24(a) before his first session but with the hair wet with an antiseptic solution prior to the surgery. The photo demonstrates considerable hair loss in the mid-scalp area as well as in the frontal area. The mid-scalp was treated with 1998 FU at an average density of approximately 30 FU/cm² six months after the frontal area had been transplanted. (d) 19 months after the second session of FUT. This individual had very dense hair in his donor area. Primarily because of his age, the average number of hairs/FU was greater than the typical 2.3/FU, hence the denser than average results. As he gets older and the number of hairs/FU in the original donor tissue decreases, the recipient area hair density will also decrease. Younger patients should proceed with transplanting with more caution because of the greater uncertainty of the ultimate extent of hair loss in both recipient and original donor tissues. However, emotional factors must also be taken into account when a physician decides how long one should wait before starting transplanting in a young man.

Figure 25

(a) A patient with apparently very limited hair loss in the fronto-temporal corners of his hairline. (b) The same patient as shown in Fig. 25(a) nine months after his first transplant. (c) The same patient as shown in Fig. 25(a), and at the same time, which demonstrates that he had diffuse thinning through the entire frontal area and that the hair loss was not limited to only the hairline zone, as might at first have seemed to be the case. (d) The same patient as shown in Fig.25(a) nine months after a session of 2211 FU. One does not have to wait until an area has experienced the loss of the majority of its hair before the area can actually be treated. However, the hair density shown above will not persist for the patient’s lifetime because it is a combination of the transplanted hair and the original hair in the recipient area at the time the surgery was carried out. As the patient loses his original hair, the hair density in the transplanted area will become more like that shown in the “after” photos in Fig 11.

Figure 26